Dear Colleagues,Please help me with a 4 year-old lad who was referred today by his GP for genital warts. A court-appointed foster parent brought him in for evaluation. His 21 year-old mother left him recently with relatives. She is an inattentive parent with an alcohol and possibly a drug problem. The child was in pre-school but was suspended a few days ago because he was using sexually explicit language, being physically abusive to his peers, discussing French kissing and saying he was going to shoot himself.The exam showed a quiet, calm and...
Friday, December 29, 2006
Wednesday, December 27, 2006
Unusual Case
This 53 yo man presented with a three week history of a pustular eruption on the left small finger. It began as a papule and slowly enlarged.History reveals that he has a farm with 500 sheep. He has also been exposed to cats and dressed a deer around a month ago.Diagnostic tests were done.Follow-up: The KOH prep was positive. The fungal culture is positive at ten days. Thus, this is inflammatory tinea manus. Await fungal culture for typing of...
Saturday, December 16, 2006
Unilateral Bullae
HistoryThe patient is a 28 yo man referred on a walk-in basis with an eight month history of a bullous eruption on the dorsum of his left hand. He gets one or two painless lesions a month. No history was sent over with the patient and he is a poor historian. His medications include Welbutrin, Clozeril and Soma (carisprodol/aspirin)Exam:The only findings are on the dorsum of the left hand. Here, there is a hemorrhagic bulla, a vesicle and areas...
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